MEDICARE: YAHAIRA GABRIELA RUIZ-RAMIREZ LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	126353-01	NY

General Provider Information

NPI Number	:	1235711201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAHAIRA GABRIELA RUIZ-RAMIREZ LMSW

Provider Business Mailing Address
First Line	:	859 HOLLYWOOD AVE # 2F
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-2305
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3708 91ST ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7961
Country	:	US
Telephone Number	:	718-706-1663
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2021
Last Update Date	:	01/17/2025

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